Acute dislocations of the distal radioulnar joint and distal ulna fractures.

abstract：:This article discusses the importance of the elbow in both sports and performing arts. Functional, painless motion of the elbow is essential to achieve this end because although most objects of play are controlled by the hand, freedom of movement at the elbow allows one to place the hand in space. Anatomy and biomecha...

journal_title：Hand clinics

authors： Hotchkiss RN

更新日期：1990-08-01 00:00:00

abstract：:This discussion has attempted to outline a fundamental approach to the radiographic analysis of solitary lesions of the hand and wrist skeleton. The initial evaluation invariably relies on the routine radiograph, using the conventional film-screen combination to obtain a sense of the lesion in its gross anatomic setti...

journal_title：Hand clinics

authors： Feldman F

更新日期：1987-05-01 00:00:00

abstract：:Trauma patients are predominantly young men. Urban trauma patients frequently are uninsured, and often are victims of intentionally inflicted penetrating injury, usually caused by firearms. Substance use is a common underlying factor in both urban and rural trauma. This article introduces urban and rural patients. It ...

journal_title：Hand clinics

authors： McAuliffe JA

更新日期：1999-05-01 00:00:00

abstract：:Complex forearm injuries involve damage to the skin and underlying tissues. The best results are obtained when a multidisciplinary approach is taken to their management. Management of the acute injury should be done in a manner that takes into consideration late reconstructive procedures and best possible final functi...

journal_title：Hand clinics

authors： Bray PW,Boyer MI,Bowen CV

更新日期：1997-05-01 00:00:00

abstract：:There are times when clinical examinations, radiographs, and computed tomography scans do not provide sufficient information to know whether a scaphoid fracture or scaphoid bone graft has united, partially united, or not united. When this problem arises, arthroscopic examination of the scaphoid fracture or scaphoid bo...

journal_title：Hand clinics

authors： Ecker J

更新日期：2017-11-01 00:00:00

abstract：:Histologic examination of the TFC reveals parallel, longitudinally oriented collagen fibers peripherally, while the more central articular disc is made up of interweaving obliquely oriented sheets of collagen fibers. This suggests a peripheral region experiencing tensile loads between the region of origin from the rad...

journal_title：Hand clinics

authors： Chidgey LK

更新日期：1991-05-01 00:00:00

abstract：:Resection of the distal ulna for post-traumatic arthritis can lead to an unstable forearm joint through loss of the normal articular contact through the distal radioulnar joint and loss of soft tissue constraint. The resulting convergence instability can lead to residual pain, weakness, and loss of function. Restabili...

journal_title：Hand clinics

authors： Berger RA,Cooney WP 3rd

更新日期：2005-11-01 00:00:00

abstract：:Tendons are made of compact dense collagen fibers with only sparse cellularity and naturally low immunogenicity. Allogenic tendons may be preserved through deep freezing methods and retain excellent mechanical properties after revitalization. Allogenic tendons were used in 22 patients (30 tendons) for second-stage ten...

journal_title：Hand clinics

authors： Xie RG,Tang JB

更新日期：2012-11-01 00:00:00

abstract：:This article reviews the history of total wrist arthroplasty as a treatment option for painful, nonfunctional wrists in disease states. Technologic advances in materials, wear properties, and manufacturing now account for increased implant longevity. They may also improve total wrist replacement design, survival, and ...

journal_title：Hand clinics

authors： McBeath R,Osterman AL

更新日期：2012-11-01 00:00:00

abstract：:Midcarpal instability has been well described as a clinical entity but the pathokinematics and pathologic anatomy continue to be poorly understood. This article presents a comprehensive review of the existing knowledge and literature-based evidence for the diagnosis and management of the various entities comprising mi...

journal_title：Hand clinics

authors： Niacaris T,Ming BW,Lichtman DM

更新日期：2015-08-01 00:00:00

abstract：:Human capacity for physiologic adaptation to cold is minimal; we survive by insulating ourselves with protective clothing. In addition to the irreversible direct injury caused by ice crystallization, the authors have outlined four possible mechanisms by which indirect injury may damage tissue. Other than rapid rewarmi...

journal_title：Hand clinics

authors： Su CW,Lohman R,Gottlieb LJ

更新日期：2000-05-01 00:00:00

abstract：:As microsurgical techniques improve, attempts to restore function after severe nerve injury place greater demands upon the use of nerve grafts. Viable Schwann cells within these grafts are necessary to maximize nerve regeneration. Progress in decreasing nerve allograft antigenicity and the host response through immuno...

journal_title：Hand clinics

authors： Trumble TE,Shon FG

更新日期：2000-02-01 00:00:00

abstract：:There are many nonsurgical treatment options for patients with upper limb spasticity. This article presents an algorithmic approach to management, encompassing evidence-based rehabilitation therapies, medications, and promising new orthotic and robotic innovations. ...

journal_title：Hand clinics

authors： Black L,Gaebler-Spira D

更新日期：2018-11-01 00:00:00

abstract：:Nonsurgical management is the preferred treatment of stable, extra-articular fractures of the proximal and middle phalanx, most distal phalanx fractures, and, rarely, nondisplaced intraarticular fractures in elite athletes. Techniques that afford maximal strength with minimal dissection, thus allowing earlier return t...

journal_title：Hand clinics

authors： Gaston RG,Chadderdon C

更新日期：2012-08-01 00:00:00

abstract：:Many factors influence the development of CTS; therefore, nonoperative treatment should not be limited to only one intervention. Nonoperative treatment is most effective in the early stages, prior to irreparable damage to the nerve. Early intervention combined with a comprehensive treatment plan can help improve effec...

journal_title：Hand clinics

authors： Osterman AL,Whitman M,Porta LD

更新日期：2002-05-01 00:00:00

abstract：:Once there are answers to the research questions, the results must be used in clinical practice to alter treatment plans, giving patients the most appropriate choices and the highest quality outcomes based on scientific data. Daily clinical practice can be improved by applying the results of outcomes studies to altern...

journal_title：Hand clinics

authors： Arslanian C

更新日期：2003-08-01 00:00:00

abstract：:Initial operative care of mutilating injuries is discussed as well as reconstructive procedures for partial hand amputees, including digital transposition and bone grafting. ...

journal_title：Hand clinics

authors： Burkhalter W

更新日期：1986-02-01 00:00:00

abstract：:New solutions to difficult problems are always welcome, but nonbridging external fixation of intra-articular fractures is still in its infancy. Multicenter clinical trials are necessary to deter-mine whether the superior results obtained with nonbridging fixation of extra-articular fractures can be duplicated. With fu...

journal_title：Hand clinics

authors： Slutsky DJ

更新日期：2005-08-01 00:00:00

abstract：:Osteoarthritis should initially be treated conservatively with the use of oral medication, intra-articular steroid injections, hand therapy, and splinting. The reduction of pain and the resultant increase in function to the patient are the ultimate goals of this treatment. ...

journal_title：Hand clinics

authors： Palmieri TJ,Grand FM,Hay EL,Burke C

更新日期：1987-08-01 00:00:00

abstract：:The rehabilitation of patients who have sustained brachial plexus injuries is essential. Therapy is performed to maintain and increase range of motion, retard the rate of muscle atrophy, and re-educate the muscles once the reconstructive surgeries have been per-formed and reinnervation is verified. This article discus...

journal_title：Hand clinics

authors： Kinlaw D

更新日期：2005-02-01 00:00:00

abstract：:This article provides an update on wound management with wound diagnosis and treatment discussed in terms of the normal cellular events of the wound healing process. The role of growth factors as cell regulators, the importance of wound fluids to wound metabolism, and the deleterious effects of some wound cleansers, d...

journal_title：Hand clinics

authors： Evans RB

更新日期：1991-08-01 00:00:00

abstract：:Free vascularized nerve transfer using microsurgical techniques for upper limb reconstruction should be considered as an alternative to conventional nonvascularized cable nerve grafts when the recipient bed is heavily scarred, as occurs in Volkmann's ischemia, when the nerve gap is exceptionally long, or when the free...

journal_title：Hand clinics

authors： Taylor GI

更新日期：1999-11-01 00:00:00

abstract：:After reviewing this article, readers should have a comprehensive understanding of the indications for diagnostic arthroscopy, technical considerations in performing a systematic evaluation of the wrist, and limitations of this technique. ...

journal_title：Hand clinics

authors： Michelotti BF,Chung KC

更新日期：2017-11-01 00:00:00

abstract：:Despite the high value of clinical examination of the perionychium, radiography remains necessary if one suspects a deep mass beneath the nail plate. Ultrasonography may be helpful in experienced hands to depict cystic or vascular lesions, but MRI offers the most promising developments for imaging the perionychium. ...

journal_title：Hand clinics

authors： Drapé JL

更新日期：2002-11-01 00:00:00

abstract：:The Z-plasty is a useful procedure in surgery of the upper limb for lengthening skin along a selected axis, for breaking up a straight line, and for obliterating webs. At least six geometric variables are considered in designing a conventional Z-plasty, and several modified designs must be considered. Geometrical mode...

journal_title：Hand clinics

authors： Furnas DW

更新日期：1985-11-01 00:00:00

abstract：:The hypoplastic thumb has a variety of presentations, which have been generalized into a formal classification system that has treatment implications. In most cases, the spectrum of hypoplasia has predictable deficits in terms of tendon and bone absence. The ultimate goal is always the same--to enhance usage of the ra...

journal_title：Hand clinics

authors： Plancher KD,Kahlon RS

更新日期：1998-02-01 00:00:00

abstract：:Arteriography of the hand is a specialized area of angiography that has unfortunately received little attention from angiographers and surgeons. Proper attention to techniques and an awareness of the unique manifestations of disease in the upper extremity maximize the clinical benefit gained when hand arteriography is...

journal_title：Hand clinics

authors： Vogelzang RL

更新日期：1991-02-01 00:00:00

abstract：:The clinical presentation and history of patients with Kienböck's disease do not permit differentiating avascular necrosis of the lunate from vague wrist pathology of a variety of causes. Diagnosis and evaluation of this disorder therefore require appropriate imaging studies. Plain-film radiography, tomography, and bo...

journal_title：Hand clinics

authors： Szabo RM,Greenspan A

更新日期：1993-08-01 00:00:00

abstract：:The care of patients with spastic cerebral palsy requires the dedicated attention of a surgeon who is interested in the upper extremity, in association with therapists and other medical personnel who have a similar interest. The difficult problems of the upper extremity have often been overlooked by concerns related t...

journal_title：Hand clinics

authors： Manske PR

更新日期：1990-11-01 00:00:00

abstract：:Cortical mapping and relearning are key factors in optimizing patient outcome following motor nerve transfers. To maximize function following nerve transfers, the rehabilitation program must include motor reeducation to initiate recruitment of the weak reinnervated muscles and to establish new motor patterns and corti...

journal_title：Hand clinics

authors： Novak CB

更新日期：2008-11-01 00:00:00